While everyone is focused on the very real and acute cost of living crisis and the war in Ukraine the NHS is quietly imploding, more staff leaving than joining and therefore services collapsing.
It’s not simply a matter of throwing more money at it, we are way past that stage, and as we learned from the Nightingale hospital fiasco, you can build all the hospitals you like but if there is no workforce to staff them, they are just so many white elephants.
The workforce is on its knees and many who stayed on or returned during the Covid crisis are now leaving or returning to retirement, others simply leaving because they are exhausted, increasing the strain on those left behind. The crisis is particularly acute in psychiatry and general practice, where services are collapsing just when they are needed most to deal with the fallout of Covid.
So the fact that there are 10 new medical schools should be good news, except that they will only add about another 1,000 doctors to the workforce annually and only in 5 years’ time, against a calculated shortfall of 15,000 annually. So you may be as surprised as I was to learn that 3 of those new schools; Chester, Brunel and Three Counties, will only be accepting private students from overseas this coming October, and why is that? – simply that the Treasury has not made funds available to support home grown medical students, £35,000 each annually for the 3 clinical years of undergraduate training; yes, medical training is expensive. The government’s solution being to let these new medical schools admit overseas students instead, who bring with them £40,000 each a year in overseas fees.
Whilst that may be an attractive business model for the medical schools concerned it does nothing to address our own needs and exacerbates the workforce crisis into the future. Meanwhile applications from home-grown candidates have soared and many are being turned down, even though they have top grades and should have been able to expect medical school places.
I think you can agree with me that students coming from countries such as Australia, Hong Kong, Canada and India with that kind of money at their disposal, are most likely to be from wealthy, well-connected families, and are unlikely to be planning to make a long-term contribution to the NHS workforce or make the UK their permanent home. They may stay long enough to complete their postgraduate training but my guess is that they will be returning to privileged positions back home just as soon as they can.